J Multi Dent Res. 2022;8(1):26–32
Journal of Multidisciplinary Dental Research
Case Report
Combined Resective and Regenerative Therapy - A Novel Approach in the
Management of Furcation Involvement: A Case Report
Amruth Ganesh
1, *
, Jyosthna Ganapathi Madhurkar
2
, Shashikanth Hegde
3
, Sneha Bhat
4
,
Haziel Jenifer
4
1
Post graduate, Department of Periodontology, Yenepoya Dental College, Yenepoya (Deemed to be) University, Derelakatte,
Mangalore, 575018, Karnataka, India
2
Assistant Professor, Department of Periodontics, SDM College of Dental Science and Hospital, Dharwad, 580009, Karnataka, India
3
Professor, Department of Periodontology, Yenepoya Dental College, Yenepoya (Deemed to be) University, Derelakatte, Mangalore,
575018, Karnataka, India
4
Reader, Department of Periodontology, Yenepoya Dental College, Yenepoya (Deemed to be) University, Derelakatte, Mangalore,
575018, Karnataka, India
ARTICLE INFO
Article history:
Received 13.04.2022
Accepted 22.04.2022
Published 08.07.2022
*
Corresponding author.
Amruth Ganesh
dr.amruthganesh@gmail.com
https://doi.org/
10.38138/JMDR/v8i1.22.13
ABSTRACT
Periodontal furcation involvement represents a challenge in the treatment of periodontally compromised
molars. Different treatment modalities are advocated in the treatment of FI including non-surgical therapy,
resective and regenerative treatment, according to subject and site factors and degree of involvement
of individual affected molars. e aetiology of FI include anatomic factors, extension of inflammatory
periodontal disease, trauma from occlusion, pulpo periodontal disease and root fracture involving
furcations. An emerging approach to periodontal therapy is a concept of regeneration. In this case report a
novel combination therapy of a blend of platelet rich fibrin with bone graſt was used in the management of
grade III furcation involvement. Results showed successful outcome in terms of esthetics and function.
Keywords: Root resection; Furcation involvement; Bone graft; PRF
1 INTRODUCTION
Periodontal disease is a multi-factorial disease oſten denoted
by loss of connective tissue attachment. Attachment loss in
the furcation is one of the most serious anatomical sequels
of periodontitis. Furcations are frequently not accessible for
adequate professional debridement.
(1)
Furcation lesions are particularly difficult to treat both
by nonsurgical and surgical treatment modalities. e
anatomical characteristics, such as size of the furcation
entrance, presence of root concavities and uneven surface
of furcation roof, make adequate instrumentation of the
inter-radicular area extremely difficult even with Open-flap
technique.
(1)
In 1954 several authors advocated root resection tech-
nique which was initially reported in 1884 and 1886 to
eliminate furcation invasion of diseased molars.
(2)
Recently the combination of resective and regenerative
therapy has been developed in order to reduce the risk of
molar tooth loss (Varughese et al. 2015).
(3)
e present case report describes a successful Man-
agement of furcation involved maxillary first molar by
combined resective and regenerative approach using a blend
of Platelet-Rich fibrin and bone graſt.
2 CASE REPORT
A 50-year-old male patient reported to the Department of
Periodontology with the chief complaint of pain and mobil-
ity in the upper right back tooth, the pain was intermittent
for the past 6months, which aggravated on mastication and
relieved on medication. e patient was a known diabetic
and was under medication for the past 3years. Past dental
history revealed patient underwent multiple restorations.
© 2022 Published by International Dental Educationists’ Association (IDEA). is is an open access article under the CC BY license
(https://creativecommons.org/licenses/by/4.0/)
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